Individual provider · Type 1 NPI
Stephanie Ailis Martin
Mental Health Counselor · Bullock, NC
NPI number
1487430757
Active
Practice location
9553 Whippoorwill Ridge Rd
Bullock, NC 27507-9362
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-29171 (NC) |
| Mental Health Counselor Primary | 101YM0800X | P018296 (NC) |
Mental Health Counselor: Definition to come...
About NPI 1487430757
Stephanie Ailis Martin's National Provider Identifier is 1487430757, issued on Sep 4, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bullock, NC. The record was last updated on Sep 4, 2023.